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Klamath County, Oregon
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Adult Volunteer Application
Adult Volunteer Application
Contact info
Name
Email
Phone
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
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California
Colorado
Connecticut
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Florida
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Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
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Marshall Islands
Maryland
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Michigan
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Texas
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Washington
West Virginia
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ZIP/Postal Code
Is there a particular reason you want to volunteer?
Just want to volunteer
Need service hours for school
Need community service hours
Which library or branch would you like to volunteer at?
- Select -
Main Library (Downtown)
South Suburban Branch
Bly Branch
Bonanza Branch
Chemult Branch
Chiloquin Branch
Gilchrist Branch
Keno Branch
Malin Branch
Merrill Branch
Senior Center Branch
Sprague River Branch
Are you over 18 years old? (If you are under 18, please complete the application under the Teens tab.)
Yes
No
Describe previous volunteer experience, if any:
What skills can you offer as a volunteer?
Have you ever been an employee of Klamath County?
Yes
No
If yes, when?
Is a member of your immediate family/household currently an employee of Klamath County?
Yes
No
If yes, in what department?
Have you ever been convicted of a criminal offense other than a minor traffic violation?
Yes
No
If yes, please explain the date, place, and nature of the conviction:
Physical demands of volunteering in the library may include but are not limited to: standing, sitting, bending, stooping, reaching, lifting, carrying, pushing, pulling, climbing, kneeling, and crouching. Are there any accommodations you might need to help you perform the duties we are asking of you?
Yes
No
If yes, please describe how we can accommodate you:
Please list up to three personal or work-related references who can vouch for your skills and/or character. Give their full name, relationship to you, and a phone number or email address we can reach them at.
Type your full name to sign the application.
I hereby certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge. I agree that if the information given in my application is found to be false in any way, it shall be considered sufficient cause for denial of volunteer status with Klamath County Library. I authorize past employers, references, and any other person to answer all questions asked concerning my employment, education, general reputation, character, and other qualities the Library deems pertinent to the assessment of my qualifications for volunteer and hereby release these individuals from any and all damages arising from furnishing any requested information. Please note that once submitted this application becomes the property of the Library. I understand that nothing contained in the volunteer application is intended to create a contract between the Klamath County Library and myself.
In consideration of my volunteering, I agree to comply with the policies, rules, regulations and procedures of the Klamath County Library, which I understand may change at any time and I understand that my status can be terminated with or without cause or notice, at any time, at the option of either the Library or myself.
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